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E19_14

Data Format

[combo] multiple-choice

Definition

Endotracheal Tube location verification on the arrival at the Destination (if applicable)

XSD Data Type xs:integer XSD Domain (Simple Type) DestinationConfirmationOfTubePlacement

Multiple Entry Configuration Yes Accepts Null Yes

Required in XSD Yes

Field Values

4775

Auscultation of Bilateral Breath Sounds

4780 Colormetric CO2 Detector Confirmation 4785 Digital CO2 Confirmation

4795 Negative Auscultation of the Epigastrium 4800Visualization of the Chest Rising with ventilation

4805Visualization of Tube Passing Through the Cords -10 Not Known

4810 Waveform CO2 Confirmation -25 Not Applicable

Default Value

-20Not Recorded

Additional Information

 Associated with Procedure (E19_03) if Airway Procedure leads to Intubation

Uses

 Part of an EMS Medical Record

 Reports on Medications and Skills performed along with Protocols used provide key performance evaluation tools  Used in Quality Management for the evaluation of Care and EMS Agency Performance

Validation Rules:

Data Type Integer

Null Allowed Yes

Multi Entry Yes

Min value Max value

Acceptable Field Values From list above

Related Elements 19_03(Procedure), 19_13(TubeConfirmation)

Additional Rules  If 19_14(TubeLocation) NOT= -20 then

19_03(Procedure) should equal 96.040, 96.041, 96.042, 31.120

Page 116 of 182

DESTINATION/TRANSFERRED TO CODE

E20_02

Data Format

[text]

Definition

The code of the destination the patient was delivered or transferred to, if present and available

XSD Data Type xs:string XSD Domain (Simple Type) DestinationTransferredToCode

Multiple Entry Configuration No Accepts Null Yes

Required in XSD Yes Minimum Constraint 2 Maximum Constraint 50

Field Values

Relevant Value for Data Element & Patient Care (facility code or EMS agency ID )

5070 Other 5071 VA or Military Hospital

5072 Out of State

Default Value

-20Not Recorded

Additional Information

 Could be an editable single choice list box derived from Hospitals Served (D04_12) and Other Destinations (D04_14). This list also includes other EMS agencies to which care is transferred.

Use “VA or Military Hospital” for hospitals not licensed by the Florida Agency for Healthcare Administration (AHCA) Use “Out of State” for destinations outside of Florida

Use “other” for all other facilities with no code.

Uses

 A component of the EMS Medical Record: Patient Care Report

 Important for grouping or comparing data by Destination location and type which also allows data to be sorted by geographic areas in many agencies

 Provides information on overall service area, patterns and times for agency configuration and evaluation

Validation Rules:

Data Type String

Null Allowed Yes

Multi Entry No

Min value Max value

Acceptable Field Values From list above

Related Elements 05_10(AtDestination)

Additional Rules  If 05_10(AtDestination) exist then 20_02(DestinationCode) NOT -20

 If E20_10 (Patient/Incident Disposition) equals 4850 Treated and Transported by EMS, then E20_02

(Destination/Transferred To Code) cannot equal -20 Not Recorded.

Page 117 of 182

DESTINATION ZIP CODE

E20_07

Data Format

[text]

National Element

Definition

The destination zip code in which the patient was delivered or transferred to. A valid 5 – 10 character postal code in the US or foreign country.

XSD Data Type xs:string XSD Domain (Simple Type) Zip

Multiple Entry Configuration No Accepts Null Yes

Required in XSD Yes Minimum Constraint 2 Maximum Constraint 10

Field Values

Relevant Value for Data Element & Patient Care

-25 Not Applicable

Default Value

-20Not Recorded

Additional Information

 Can be 5 or 9 digit Zip Code

 This refers to when the destination is a fixed location. It not, use ‘Not Applicable’.

Uses

 A component of the EMS Medical Record: Patient Care Report  Allows data to be sorted based on the destination location  Allows data to describe patient's geographic destination

 Important for grouping or comparing data by Destination location and type which also allows data to be sorted by geographic areas in many agencies

 Provides information on overall service area, patterns and times for agency configuration and evaluation

Validation Rules:

Data Type String

Null Allowed Yes

Multi Entry No

Min value 2

Max value 10

Acceptable Field Values From list above

Related Elements 20_10(IncidentPatientDisp)

Additional Rules  If E20_10 (Patient/Incident Disposition) equals 4850 Treated and Transported by EMS, then E20_07 (Destination Zip Code) cannot equal -20 Not Recorded.

Page 118 of 182

INCIDENT/PATIENT DISPOSITION

E20_10

Data Format

[combo] single-choice

National Element

Definition

Type of disposition treatment and/or transport of the patient.

XSD Data Type xs:integer XSD Domain (Simple Type) IncidentPatientDisposition

Multiple Entry Configuration No Accepts Null No

Required in XSD Yes

Field Values

4815 Cancelled 4820 Dead at Scene

4825 No Patient Found 4830 No Treatment Required

4835 Patient Refused Care 4840 Treated and Released

4845 Treated, Transferred Care 4850 Treated, Transported by EMS

4855 Treated, Transported by Law Enforcement 4860 Treated, Transported by Private Vehicle

48351 Treated and Refused Transport 48302 Agency Assist

48301 Public Assist 48151 Cancelled On Scene – No Patient Contact

48303 Unit Assist

Default Value

Agency Specific from list above

Additional Information

 The custom values for “assist” should be used as follows:

o Public Assist = providing assistance that is not necessarily emergency medical service such as helping up an elderly person who has fallen; there is no treatment delivered and no patient data is required

o Agency Assist = providing assistance to another EMS provider such as lift assist or multiple agencies responding to a call

o Unit Assist = providing assistance to another unit within your EMS provider agency such as multiple units working an MCI or cardiac call; the unit responsible for the patient (probably transport) will complete patient data; the other units would be listed only as “unit assist”

Uses

 A component of the EMS Medical Record: Patient Care Report  Allows data to be sorted based on the EMS disposition

Page 119 of 182

Validation Rules:

Data Type Integer

Null Allowed No

Multi Entry No

Min value Max value

Acceptable Field Values From list above

Related Elements 20_10(IncidentPatientDisp)

Additional Rules  If E20_10(IncidentPatientDisp) = 4850 then E20_16(Reason) should not be -20 E20_07(DestinationZip) should not be -20 E05_10(AtDestination) should not be blank

 If E20_02 (DestinationTransferredToCode) = -20, then E20_10 cannot equal 4850

 If E20_07 (DestinationZipCode) = -20, then E20_10 cannot equal 4850

 If E20_14 (TransportModeFromScene) = -20, then E20_10 cannot equal 4850

 If E20_15 (ConditionOfPatientAtDestination) = -20, then E20_10 cannot equal 4850

 If E20_16 (ReasonForChoosingDestination) = -20, then E20_10 cannot equal 4850

 If E20_17 (TypeOfDestination) = -20, then E20_10 cannot equal 4850

 NOTE: This element must be filled out on every call

Page 120 of 182

TRANSPORT MODE FROM SCENE

E20_14

Data Format

[combo] single-choice

National Element

Definition

Indication whether or not lights and/or sirens were used on the vehicle while leaving scene

XSD Data Type xs:integer XSD Domain (Simple Type) TransportModeFromScene

Multiple Entry Configuration No Accepts Null Yes

Required in XSD Yes

Field Values

4955 Initial Lights and Sirens, Downgraded to No Lights or Sirens 4960 Initial No Lights or Sirens, Upgraded to Lights and Sirens

4965 Lights and Sirens 4970 No Lights or Sirens

Default Value

-20Not Recorded

Uses

 A component of the EMS Medical Record: Patient Care Report  Allows data to be sorted based on the transportation mode  Allows data to describe transportation mode used by EMS

Validation Rules:

Data Type Integer

Null Allowed Yes

Multi Entry No

Min value Max value

Acceptable Field Values From list above

Related Elements 20_10(IncidentPatientDisp)

Additional Rules If 20_10(IncidentPatientDisp) = 4850 then 20_14 (TransportMode)

Page 121 of 182

CONDITION OF PATIENT AT DESTINATION

E20_15

Data Format

[combo] single-choice

Definition

The condition of the patient after care by EMS

XSD Data Type xs:integer XSD Domain (Simple Type) ConditionOfPatientAtDestination

Multiple Entry Configuration No Accepts Null Yes

Required in XSD Yes

Field Values

4975 Improved 4980 Unchanged 4985 Worse

Default Value

-20Not Recorded

Uses

 Outcome indicator

 Part of an EMS Medical Record

 Used in Quality Management for the evaluation of Care and EMS Agency Performance

Validation Rules:

Data Type Integer

Null Allowed Yes

Multi Entry No

Min value Max value

Acceptable Field Values From list above

Related Elements 20_02(DestinationCode), 20_10(IncidentPatientDisp)

Additional Rules  If 20_02(DestinationCode) NOT= -20 then 20_15 (PatientCondition)should not be -20

 If 20_10(IncidentPatientDisp )= 4850 then 20_15 (PatientCondition) should not be -20

Page 122 of 182

REASON FOR CHOOSING DESTINATION

E20_16

Data Format

[combo] single-choice

National Element

Definition

The reason the unit chose to deliver or transfer the patient to the destination

XSD Data Type xs:integer XSD Domain (Simple Type) ReasonForChoosingDestination

Multiple Entry Configuration No Accepts Null Yes

Required in XSD Yes

Field Values

4990 Closest Facility (none below) 4995 Diversion

5000 Family Choice 5005 Insurance Status

5010 Law Enforcement Choice 5015 On-Line Medical Direction

5020 Other 5025 Patient Choice

5030 Patient's Physicians Choice 5035 Protocol

5040 Specialty Resource Center

Default Value

-20Not Recorded

Uses

 A component of the EMS Medical Record: Patient Care Report  Allows data to be sorted based on the destination choice

 Allows data to give a reason for choosing the patient’s destination which is important to document from a specialty care agency and diversion/overcrowding perspective

Validation Rules:

Data Type Integer

Null Allowed Yes

Multi Entry No

Min value Max value

Acceptable Field Values From list above

Related Elements 20_02(DestinationCode), 20_10(IncidentPatientDisp)

Additional Rules  If 20_02(DestinationCode) NOT= -20 then 20_16 (Reason)should not be -20

 If 20_10(IncidentPatientDisp) = 4850 then 20_16(Reason) should not be -20

Page 123 of 182

TYPE OF DESTINATION

E20_17

Data Format

[combo] single-choice

National Element

Definition

The type of destination the patient was delivered or transferred to

XSD Data Type xs:integer XSD Domain (Simple Type) TypeOfDestination

Multiple Entry Configuration No Accepts Null Yes

Required in XSD Yes

Field Values

7270 Home

7280 Hospital 7290 Medical Office/Clinic

7300 Morgue 7320 Nursing Home

7330 Other 7340 Other EMS Responder (air)

7350 Other EMS Responder (ground) 7360 Police/Jail

Default Value

-20Not Recorded

Uses

 A component of the EMS Medical Record: Patient Care Report

 Allows data to be sorted or grouped based on the EMS transports destination type  Allows data to describe EMS patient’s destination type

Validation Rules:

Data Type Integer

Null Allowed Yes

Multi Entry No

Min value Max value

Acceptable Field Values From list above

Related Elements 20_10(IncidentPatientDisp)

Additional Rules  If 20_10(IncidentPatientDisp) = 4850 then 20_17(DestinationType) should not be -20

Page 124 of 182

EMERGENCY DEPARTMENT DISPOSITION

E22_01

Data Format

[combo] single-choice

National Element

Definition

The known disposition of the patient from the Emergency Department (ED)

XSD Data Type xs:integer XSD Domain (Simple Type) EmergencyDepartmentDisposition

Multiple Entry Configuration No Accepts Null Yes

Required in XSD Yes

Field Values

5335 Admitted to Hospital Floor 5340 Admitted to Hospital ICU

5345 Death 5350 Not Applicable (Not Transported to ED)

5355 Released 5360 Transferred

-10 Not Known

Default Value

-20Not Recorded

Uses

 Allows data to be sorted based on the EMS patient outcome  Allows data to describe EMS patient outcome

Validation Rules:

Data Type Integer

Null Allowed Yes

Multi Entry No

Min value Max value

Acceptable Field Values From list above

Related Elements Additional Rules

Page 125 of 182

HOSPITAL DISPOSITION

E22_02

Data Format

[combo] single-choice

National Element

Definition

Indication of how the patient was dispositioned from the hospital, if admitted.

XSD Data Type xs:integer XSD Domain (Simple Type) HospitalDisposition

Multiple Entry Configuration No Accepts Null Yes

Required in XSD Yes

Field Values

5365 Death 5370 Discharged

5375 Transfer to Hospital 5380 Transfer to Nursing Home

5385 Transfer to Other 5390 Transfer to Rehabilitation Facility

-10 Not Known

Default Value

-20Not Recorded

Uses

 Allows data to be sorted based on the EMS patient outcome  Allows data to describe EMS patient outcome

Validation Rules:

Data Type Integer

Null Allowed Yes

Multi Entry No

Min value Max value

Acceptable Field Values From list above

Related Elements Additional Rules

Page 126 of 182

RESEARCH SURVEY FIELD (VALUES)

E23_09

Data Format

[combo] single-choice

Florida Custom Element

Definition

The type of alert that was called based on Florida EMS criteria.

XSD Data Type xs:integer XSD Domain (Simple Type) AlertType

Multiple Entry Configuration No Accepts Null Yes

Required in XSD Yes

Field Values

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